RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 TANF ADC & MA-ADC Percent Enrolled Mandatory 14,063 2,971 17,034 63% 2,595 19,629 62% Eff. Oct 1997 NYS Catholic Health Plan 4,976 1,373 6,349 24% 740 7,089 22% Wellcare Of New York 1,177 219 1,396 5% 288 1,684 5% 4,259 78% 4,797 74% 2,451 45% 2,803 43% Mandatory Eff Feb 2007 4,652 NYS Catholic Health Plan Mandatory TOTALS: Capital District Physicians Health Plan Eff. May 1998 Excellus Health Plan 19,356 NYS Catholic Health Plan United Healthcare Plan of NY Cattaraugus Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue Eff. Sep 2001 NYS Catholic Health Plan Cayuga TOTALS: 808 2,056 Univera Community Health Broome 3,606 4,993 7,816 Univera Community Health 653 26,857 5,460 395 24,779 92% 4,973 1,029 3,623 538 31,830 6,489 352 28,402 89% 168 40 208 4% 17 225 3% 1,382 218 1,600 29% 169 1,769 27% 19,798 83% 23,303 82% 16,028 4,369 3,770 23,725 4,762 3,505 28,487 191 27 218 1% 78 296 1% 13,373 3,192 16,565 70% 2,799 19,364 68% 2,464 550 3,014 13% 628 3,642 13% 0 1 1 0% 0 1 0% 7,832 87% 9,084 85% 6,708 1,165 1,124 8,981 1,679 1,252 10,660 2,706 400 3,106 35% 739 3,845 36% 2,481 399 2,880 32% 327 3,207 30% 1,521 7,097 4,563 Eligibles Enrolled Total Enrolled TOTALS: Capital District Physicians Health Plan 20,216 Enrolled Total Eligibles Albany TOTALS: HealthNow/BCBS-WNY/Community Blue Eligibles SSI & MA-SSI Plan Name 21,864 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled County Allegany Eligibles SNA HR & MA-HR 6,356 325 1,320 1,235 8,417 1,846 21% 7,591 90% 186 1,286 822 9,703 2,032 19% 8,413 87% Mandatory Excellus Health Plan 1,882 379 2,261 27% 240 2,501 26% Eff. Oct 2010 NYS Catholic Health Plan 3,641 687 4,328 51% 420 4,748 49% United Healthcare Plan of NY Chautauqua Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue Eff. Sep 2001 NYS Catholic Health Plan 833 15,726 Univera Community Health Chemung Voluntary TOTALS: Southern Tier Pediatrics (Partial) TOTALS: Mandatory NYS Catholic Health Plan Eff. Dec 2011 United Healthcare Plan of NY 169 3,518 5,578 3,212 19,244 1,002 12% 16,974 88% 162 3,277 2,679 22,521 1,164 12% 19,653 87% 2,765 639 3,404 18% 710 4,114 18% 10,537 2,273 12,810 67% 1,810 14,620 65% 460 10,032 Southern Tier Priority (Partial) Chenango 13,762 5,966 300 1,588 954 11,620 760 4% 6,920 60% 159 2,253 1,291 13,873 919 4% 8,211 59% 3,530 0 3,530 30% 303 3,833 28% 2,436 954 3,390 29% 988 4,378 32% 1,974 30% 2,096 27% 1,685 989 289 6,567 1,226 122 7,793 1,502 250 1,752 27% 105 1,857 24% 183 39 222 3% 17 239 3% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 TANF ADC & MA-ADC County Plan Name Clinton TOTALS: Mandatory NYS Catholic Health Plan Eff. Dec 2011 United Healthcare Plan of NY Columbia Mandatory TOTALS: Capital District Physicians Health Plan Eff. Oct 1997 NYS Catholic Health Plan Cortland TOTALS: Eligibles 7,061 Enrolled 3,425 SNA HR & MA-HR Eligibles 1,506 3,299 4,962 3,903 745 8,567 699 126 4,490 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 46 1,026 843 5,516 4,170 49% 3,998 47% 172 2% 4,746 86% SSI & MA-SSI Eligibles Enrolled 1,841 453 Total Eligibles 10,408 423 30 986 699 6,502 Total Enrolled Percent Enrolled 4,623 44% 4,421 42% 202 2% 5,445 84% 2,028 425 2,453 44% 500 2,953 45% 1,875 418 2,293 42% 199 2,492 38% 5,294 90% 5,913 89% 4,474 899 820 5,861 808 619 6,669 Mandatory NYS Catholic Health Plan 3,334 646 3,980 68% 446 4,426 66% Eff. May 2007 Delaware Mandatory SCHC Total Care 1,140 174 1,314 22% 173 1,487 22% TOTALS: 3,439 70% 3,523 62% Eff. May 2011 NYS Catholic Health Plan 3,439 70% Dutchess TOTALS: 16,515 91% 4,003 2,744 879 2,744 14,765 13,442 695 4,882 695 3,413 3,073 18,178 764 84 5,646 84 3,423 2,433 21,601 3,523 62% 18,948 88% 31% Mandatory Hudson Health Plan 4,836 990 5,826 32% 860 6,686 Eff. Apr 2007 MVP Health Plan 4,553 1,188 5,741 32% 797 6,538 30% NYS Catholic Health Plan 2,507 725 3,232 18% 478 3,710 17% Wellcare Of New York Erie Mandatory Eff. May 1998 TOTALS: HealthNow/BCBS-WNY/Community Blue 1,546 84,163 Independent Health Association 77,216 170 19,757 18,251 103,920 1,716 9% 95,467 92% 298 19,393 16,380 123,313 2,014 9% 111,847 91% 12,690 2,850 15,540 15% 2,439 17,979 15% 23,640 5,337 28,977 28% 5,129 34,106 28% NYS Catholic Health Plan 18,325 3,021 21,346 21% 3,130 24,476 20% Univera Community Health 22,267 5,682 27,949 27% 3,138 31,087 25% Total Full Risk 76,922 16,890 93,812 90% 13,836 107,648 87% PCMP II-A Special Care (Partial) 294 1,361 1,655 2% 2,544 4,199 3% Total Partial Risk 294 1,361 1,655 2% 2,544 4,199 3% 2,697 86% 2,773 73% 2,697 86% 2,773 73% 4,001 63% 4,001 63% Essex Mandatory Eff. Oct 2010 Franklin Mandatory TOTALS: Eff, May 2011 NYS Catholic Health Plan 2,600 NYS Catholic Health Plan TOTALS: 2,214 541 2,214 4,280 3,172 3,172 483 3,141 483 977 750 750 5,257 3,922 75% 3,922 75% 637 76 3,778 76 1,132 79 79 6,389 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 TANF ADC & MA-ADC County Plan Name Fulton TOTALS: Capital District Physicians Health Plan Mandatory Eff. Mar 2007 NYS Catholic Health Plan Genesee Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue Eff. Jan 2004 MVP Health Plan Eligibles 6,312 3,994 NYS Catholic Health Plan Greene Mandatory TOTALS: Capital District Physicians Health Plan Eff. Oct 1997 NYS Catholic Health Plan Hamilton Mandatory Eff. Oct 2010 TOTALS: Herkimer TOTALS: Mandatory Excellus Health Plan Eff. May 2003 NYS Catholic Health Plan Voluntary Eligibles 5,707 1,275 6,812 90% 1,333 921 Total Eligibles 8,920 Total Enrolled Percent Enrolled 7,733 87% 188 1,134 15% 208 1,342 15% 5,678 75% 713 6,391 72% 4,320 92% 4,855 89% 3,674 677 646 4,671 766 535 5,437 1,791 301 2,092 45% 213 2,305 42% 1,443 240 1,683 36% 279 1,962 36% 545 12% 588 11% 4,549 91% 5,283 89% 3,619 105 1,005 930 5,024 43 891 734 5,915 1,832 333 2,165 43% 445 2,610 44% 1,787 597 2,384 47% 289 2,673 45% 294 294 100% 328 303 92% 294 100% 303 92% 7,433 6,639 89% 8,593 7,417 86% 5,507 50 50 1,294 1,132 244 50 34 9 1,160 778 9 908 189 1,097 15% 196 1,293 15% 4,554 938 5,492 74% 572 6,064 71% 45 Excellus Health Plan 7,587 Eligibles Enrolled 917 6,139 United Healthcare Plan of NY 1,105 SSI & MA-SSI 946 244 9,676 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 4,761 244 NYS Catholic Health Plan TOTALS: Enrolled 440 4,019 United Healthcare Plan of NY Jefferson SNA HR & MA-HR 109 5 1,702 24 11,378 50 1% 133 1% 10 1,948 5 13,326 60 1% 138 1% 106 22 128 1% 5 133 1% 3 2 5 0% 0 5 0% 501 20% 528 17% Lewis TOTALS: Voluntary Excellus Health Plan 211 35 246 10% 12 258 9% NYS Catholic Health Plan 223 32 255 10% 15 270 9% Livingston TOTALS: Mandatory Eff. Apr 2002 Excellus Health Plan Madison 2,240 5,147 85% 417 3,724 61% MVP Health Plan 796 149 945 18% 188 1,133 19% NYS Catholic Health Plan 218 66 284 5% 6 290 5% 5,589 89% 6,186 86% 926 611 3,031 87% 6,286 867 27 64% 942 5,191 467 4,536 1,010 807 2,564 3,307 4,647 927 67 592 5,276 3,729 324 2,715 TOTALS: 4,264 434 597 6,058 7,212 Mandatory Excellus Health Plan 2,526 485 3,011 48% 317 3,328 46% Eff. Oct 2010 NYS Catholic Health Plan 1,579 337 1,916 30% 209 2,125 29% 542 120 662 11% 71 733 10% United Healthcare Plan of NY RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI County Plan Name Monroe TOTALS: 79,963 Total Eligibles Enrolled Eligibles 93% 17,701 12,533 104,107 Mandatory Eff. Mar 1998 Excellus Health Plan 46,139 8,570 54,709 63% 8,624 63,333 61% MVP Health Plan 10,441 1,440 11,881 14% 2,422 14,303 14% 13,373 15% 7,090 92% Eligibles 70,925 NYS Catholic Health Plan Montgomery Mandatory TOTALS: Capital District Physicians Health Plan Eff. Apr 2007 NYS Catholic Health Plan Nassau TOTALS: Mandatory Affinity Health Plan Eligibles 65,402 15,481 8,822 6,650 65,036 6,063 Enrolled 14,561 86,406 4,551 1,050 1,027 7,700 1,487 1,150 891 8,850 Total Enrolled Percent Enrolled 92,496 89% 14,860 14% 7,981 90% 2,475 334 2,809 36% 412 3,221 36% 3,588 693 4,281 56% 479 4,760 54% 78,058 93% 87,581 90% 8,927 2,046 10,973 13% 1,166 12,139 13% 12,367 3,047 15,414 18% 1,404 16,818 17% HealthPlus 5,117 1,925 7,042 8% 885 7,927 8% HIP of Greater New York 9,224 3,679 12,903 15% 2,563 15,466 16% NYS Catholic Health Plan 12,422 2,998 15,420 18% 1,581 17,001 18% 0 1 1 0% 0 1 0% 12,584 3,721 16,305 19% 1,924 18,229 19% 20,918 92% 24,025 90% Eff. June 2001 HealthFirst PHSP NYS Catholic Health Plan 1199 United Healthcare Plan of NY Niagara Enrolled 1,416 6,895 30% 900 7,795 29% 1,207 6,101 27% 1,390 7,491 28% NYS Catholic Health Plan 6,215 1,707 7,922 35% 817 8,739 33% 28,009 90% 32,435 88% Mandatory Excellus Health Plan Eff Sep 2001 NYS Catholic Health Plan Onondaga TOTALS: Mandatory Eff. Nov 1998 Excellus Health Plan United Healthcare Plan of NY 4,426 36,966 4,204 1,071 5,275 17% 854 6,129 17% 2,710 19,626 63% 3,071 22,697 61% 38,526 527 8,152 7,114 51,948 3,108 10% 45,640 88% 501 10,009 7,668 61,957 3,609 10% 53,308 86% 6,481 1,187 7,668 15% 1,097 8,765 14% NYS Catholic Health Plan 11,626 2,069 13,695 26% 1,911 15,606 25% SCHC Total Care 15,410 2,882 18,292 35% 3,702 21,994 35% 5,009 976 5,985 12% 958 6,943 11% 6,879 84% 7,870 82% United Healthcare Plan of NY Ontario 5,966 26,643 16,916 2,581 43,796 31,000 3,107 97,078 4,894 4,308 3,960 9,523 5,479 4,622 22,683 13,329 Independent Health Association 23,701 4,330 83,749 Eff Sep 1998 26,378 4,677 17,417 Mandatory TOTALS: 16,588 18,713 TOTALS: HealthNow/BCBS-WNY/Community Blue Oneida 18,006 60,641 TOTALS: Mandatory Excellus Health Plan Eff. Mar 1998 MVP Health Plan NYS Catholic Health Plan 6,933 5,913 1,208 966 8,141 1,448 991 9,589 5,303 823 6,126 75% 843 6,969 73% 533 83 616 8% 131 747 8% 77 60 137 2% 17 154 2% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 TANF ADC & MA-ADC Eligibles SNA HR & MA-HR Percent Enrolled TOTALS: 40,379 89% Mandatory Affinity Health Plan 11,197 1,898 13,095 29% 1,561 14,656 29% Eff. Mar 2007 Hudson Health Plan 8,362 1,669 10,031 22% 1,323 11,354 22% 15,044 736 15,780 35% 609 16,389 32% 1,204 269 1,473 3% 251 1,724 3% Wellcare Of New York Orleans TOTALS: 4,190 Mandatory Excellus Health Plan HealthNow/BCBS-WNY/Community Eff. June 2003 Blue 3,656 5,227 987 1,371 NYS Catholic Health Plan 14,419 4,572 889 45,568 5,177 250 4,545 88% 1,621 31% Eligibles Enrolled Total Enrolled Orange 35,807 Enrolled Total Eligibles Plan Name NYS Catholic Health Plan Eligibles SSI & MA-SSI County 40,341 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 5,137 681 3,744 456 50,705 5,858 200 44,123 87% 5,001 85% 1,821 31% 786 211 997 19% 130 1,127 19% 1,499 428 1,927 37% 126 2,053 35% Oswego TOTALS: 15,341 90% 17,243 88% Mandatory Eff. Apr 1999 Excellus Health Plan 12,941 2,132 2,720 2,400 409 17,139 2,541 15% 2,453 1,902 397 19,592 2,938 15% NYS Catholic Health Plan 6,902 1,278 8,180 48% 908 9,088 46% United Healthcare Plan of NY 3,907 713 4,620 27% 597 5,217 27% 4,860 91% 5,474 86% Otsego TOTALS: Mandatory Excellus Health Plan 2,529 507 3,036 57% 400 3,436 54% Eff. May 2007 NYS Catholic Health Plan 1,472 352 1,824 34% 214 2,038 32% 2,431 79% Putnam TOTALS: Mandatory Amerigroup Eff. Mar 2007 NYS Catholic Health Plan Rensselaer TOTALS: Capital District Physicians Health Plan Mandatory Eff. Oct 1997 4,379 1,911 13,053 NYS Catholic Health Plan Wellcare Of New York Rockland TOTALS: Mandatory Affinity Health Plan Eff. Mar 2001 Hudson Health Plan NYS Catholic Health Plan United Healthcare Plan of NY Wellcare Of New York 4,001 1,693 966 88% 3% 51 126 4% 1,641 369 2,010 84% 295 2,305 75% 15,275 95% 17,436 93% 2,161 3,059 18,831 8,753 2,048 10,801 67% 1,592 12,393 66% 2,964 783 3,747 23% 433 4,180 22% 560 43,404 2,736 346 6,378 75 16,095 678 614 2,085 2,998 2,381 1,033 23 3,042 392 5,345 52 12,277 470 859 43,025 3,212 167 4,654 4,195 1,023 48,058 727 5% 47,220 98% 4,235 9% 136 3,520 2,400 617 51,578 863 5% 49,620 96% 4,852 9% 6,851 998 7,849 16% 591 8,440 16% 30,671 1,945 32,616 68% 1,039 33,655 65% 5 3 8 0% 2 10 0% 2,286 226 2,512 5% 151 2,663 5% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 TANF ADC & MA-ADC County Plan Name Eligibles St Lawrence TOTALS: Voluntary Excellus Health Plan 10,696 NYS Catholic Health Plan Saratoga Mandatory TOTALS: Capital District Physicians Health Plan Eff. Oct 1997 NYS Catholic Health Plan Schenectady Mandatory TOTALS: Capital District Physicians Health Plan Eff. Apr 2007 NYS Catholic Health Plan Schoharie Mandatory TOTALS: p Plan Eff. Oct 2010 NYS Catholic Health Plan y 9,885 15,224 SNA HR & MA-HR Enrolled Eligibles 188 1% 8 154 1% 74 39 113 1% 4 117 1% 10,904 92% 12,283 86% 2% 5,743 1,226 6,969 59% 1,051 8,020 56% 666 3,935 33% 328 4,263 30% 16,067 89% 18,799 87% 8,281 46% 9,990 46% 13,420 2,846 2,002 2,647 18,070 1,275 6,414 1,801 14,203 271 3,269 7,006 2,393 1,379 15,652 Percent Enrolled 2% 2,309 12 Total Enrolled 259 11,894 2,814 Total Eligibles 146 1,892 12,838 Eligibles Enrolled 32 2,009 71 SSI & MA-SSI 114 9,012 2,142 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 1,372 503 469 2,896 7,786 43% 2,471 85% 3,633 2,732 21,703 1,709 1,023 407 274 3,303 8,809 41% 2,745 83% 1,098 286 1,384 48% 182 1,566 47% 904 183 1,087 38% 92 1,179 36% Schuyler TOTALS: 193 9% 210 9% Voluntary NYS Catholic Health Plan 80 29 109 5% 1 110 5% Southern Tier Priority (Partial) 51 33 84 4% 16 100 4% 2,789 91% 3,188 89% 2,789 91% 3,188 89% 682 7% 923 7% 2% 2,659 131 NYS Catholic Health Plan 188 42 230 2% 59 289 Southern Tier Pediatrics (Partial) 206 0 206 2% 22 228 2% Southern Tier Priority (Partial) 185 61 246 2% 160 406 3% TOTALS: Mandatory Affinity Health Plan 19,398 106,640 399 2,323 15,494 241 11,203 12,523 98,967 93% 110,170 90% 14,183 13% 1,378 15,561 13% 12,143 2,113 14,256 13% 1,419 15,675 13% HIP of Greater New York 10,292 4,006 14,298 13% 2,193 16,491 14% Neighborhood Health Providers 15,853 2,401 18,254 17% 1,966 20,220 17% NYS Catholic Health Plan 12,955 3,360 16,315 15% 1,888 18,203 15% 0 0 0 0% 1 1 0% 16,444 5,217 21,661 20% 2,358 24,019 20% United Healthcare Plan of NY 21,551 10,200 2,301 NYS Catholic Health Plan 1199 79,569 103 3,596 11,882 Eff. June 2001 HealthFirst PHSP 85,089 338 1,506 399 2,416 Voluntary 579 541 17 TOTALS: 2,451 3,055 289 Steuben 8,694 338 2,127 TOTALS: Suffolk 396 62 Seneca Mandatory Eff. Jan 2007 Excellus Health Plan 2,451 326 122,134 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 TANF ADC & MA-ADC County Plan Name Sullivan TOTALS: Mandatory Hudson Health Plan Eff. Apr 2007 Tioga Voluntary Eligibles 8,235 Tompkins TOTALS: NYS Catholic Health Plan Eligibles 7,849 1,345 5,930 546 Enrolled 1,195 112 385 6% 5% 4,971 1,261 1,114 2,695 558 11,787 5,054 2,158 14% 1,994 39% 27% 5,628 30% 356 3,609 19% 449 1,055 177 6,109 2,607 14% 2,171 36% 35% 2,163 8 0% 5,251 85% 6,016 83% Mandatory Affinity Health Plan 9,230 Eff. Oct 1999 HIP of Greater New York 4,594 Hudson Health Plan NYS Catholic Health Plan 4,605 764 646 6,171 1,066 765 7,237 1,769 258 2,027 33% 339 2,366 33% 2,836 388 3,224 52% 426 3,650 50% 7,067 90% 8,133 86% 5,358 6,152 771 6,129 78% 934 7,063 75% 794 144 938 12% 132 1,070 11% 71,905 93% 80,026 90% 2,734 11,964 15% 1,514 13,478 15% 1,755 6,349 8% 1,204 7,553 9% 33,283 6,094 39,377 51% 3,880 43,257 49% 10,620 3,546 14,166 18% 1,516 15,682 18% 36 13 49 0% 7 56 0% 2,954 235 8% 3,466 259 7% 235 8% 259 7% 2,214 2,108 95% 2,538 2,375 94% 2,108 95% 2,375 94% 907,450 86% 1,027,912 83% 57,763 2,567 181 1,913 1,813 946 15,172 14,142 54 301 295 7,867 77,257 54 1,813 747,635 915 387 181 871,299 199 4,961 679 1 TOTALS: Upstate Total 20% 562 176 Westchester Excellus Health Plan 3,253 63% 90% 18,587 0% NYS Catholic Health Plan Mandatory Eff. Feb 2007 31% 5,292 16,805 2,046 39% Eff. Oct 2010 TOTALS: 28% 4,949 83% 20% 7 Excellus Health Plan NYS Catholic Health Plan 4,399 606 2,674 6,940 1,648 1,987 Wayne Mandatory Yates 867 1,298 8,377 0 NYS Catholic Health Plan Voluntary 65% 93% 855 249 199 Mandatory TOTALS: 4,686 15,913 1,186 7 Eff. Mar 2007 United Healthcare Plan of NY 85% 19% 14,759 2,972 249 642 6,085 1,399 1,788 TOTALS: Capital District Physicians Health Plan Wyoming 740 3,150 1,909 1,795 7,191 374 NYS Catholic Health Plan 62,085 11% 289 3,651 6,921 21% 674 7 3,532 TOTALS: 2,308 9 MVP Health Plan 5,407 6,159 71% 7% Hudson Health Plan Washington 16 92% 7,970 5% 3,946 United Healthcare Plan of NY 266 891 10,278 378 Eff Mar 2007 NYS Catholic Health Plan 12% 11,203 968 Percent Enrolled 280 Mandatory Voluntary 21% 658 1,234 Total Enrolled 71 SCHC Total Care 4,412 2,042 1,623 Total Eligibles 41 TOTALS: Wellcare Of New York 94% 73% Eligibles Enrolled 307 Eff. Oct 2010 TOTALS: 5,268 9,044 7,002 SSI & MA-SSI 239 Ulster Warren 9,580 300 673 1,025 12,763 TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 895 1,742 4,595 NYS Catholic Health Plan Mandatory Enrolled 6,107 NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan SNA HR & MA-HR 295 183,901 159,815 1,055,200 1,548 11,188 1,066 8,121 512 24 324 267 9,415 88,445 24 267 177,539 120,462 1,232,739 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 TANF ADC & MA-ADC County Plan Name Eligibles SNA HR & MA-HR Enrolled Eligibles Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled NYC Affinity Health Plan 86,661 45,884 132,545 7% 16,460 149,005 7% Mandatory Amerigroup 47,664 31,694 79,358 4% 5,694 85,052 4% 341 2,499 2,840 0% 2,177 5,017 0% Fully Amida Care SN HealthFirst PHSP 258,018 104,051 362,069 18% 45,266 407,335 18% Implemented: HealthPlus 171,747 64,140 235,887 12% 19,062 254,949 11% Sept 2002 HIP of Greater New York 97,652 44,857 142,509 7% 20,361 162,870 7% MetroPlus Health Plan SN 1,076 2,319 3,395 0% 2,342 5,737 0% MetroPlus Health Plan 244,095 84,222 328,317 16% 35,084 363,401 16% Neighborhood Health Providers 107,996 35,028 143,024 7% 17,549 160,573 7% 531 2,818 3,349 0% 2,891 6,240 0% 138,594 89,123 227,717 11% 24,968 252,685 11% NYPS Select Health SN NYS Catholic Health Plan NYS Catholic Health Plan 1199 United Healthcare Plan of NY Wellcare Of New York 0 1 1 0% 0 1 0% 110,474 56,243 166,717 8% 14,620 181,337 8% 44,776 2% 48,357 2% 1,408,680 1,289,296 623,921 583,208 2,032,601 1,872,504 92% 256,788 210,055 2,289,389 2,082,559 91% 871,299 747,635 183,901 159,815 1,055,200 907,450 86% 177,539 120,462 1,232,739 1,027,912 83% NEW YORK CITY TOTALS: 1,408,680 1,289,296 623,921 583,208 2,032,601 1,872,504 92% 256,788 210,055 2,289,389 2,082,559 91% GRAND TOTALS: 2,279,979 2,036,931 807,822 743,023 3,087,801 2,779,954 90% 434,327 330,517 3,522,128 3,110,471 88% NYC Total UPSTATE TOTALS: 24,447 20,329 3,581 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 TANF ADC & MA-ADC County Plan Name NYC Boroughs Bronx Enrolled Eligibles Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled 363,158 321,031 117,983 108,424 481,141 429,455 89% 73,570 63,372 554,711 492,827 89% Brooklyn 499,518 465,239 222,865 210,994 722,383 676,232 94% 81,248 66,036 803,631 742,269 92% Manhattan 167,492 142,485 96,209 80,425 263,701 222,910 85% 44,399 33,333 308,100 256,243 83% Queens 331,462 317,026 166,025 163,581 497,487 480,607 97% 47,352 39,110 544,839 519,717 95% Staten Island Borough Total NOTES: Eligibles SNA HR & MA-HR 47,050 43,514 20,839 19,785 67,889 63,299 93% 10,219 8,203 78,108 71,503 92% 1,408,680 1,289,296 623,921 583,208 2,032,601 1,872,504 92% 256,788 210,055 2,289,389 2,082,559 91% (1) The Managed Care eligible counts are based upon September, 2011 total eligibles adjusted for excluded populations. The counts include recipients who are exempt from mandatory enrollment. (Seewas about statement for2003 further (2) The source of plan enrollment counts revised in July, to details) be based on the primary and secondary roster reports. The roster reports reflect month. (See about statement for further details) enrollees as of the the to the nearest whole number. (3) All percents arefirst rounded (4) New plans added this month : United HealthCare - Broome, Jefferson, & Warren counties. FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Plan Name TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan Wellcare of New York TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc TOTALS: Capital District Physicians Health Plan Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc TOTALS: Excellus Health Plan TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan Enrolled 2,671 1,235 1,283 153 680 225 48 407 2,670 41 2,214 414 1 947 173 416 358 859 233 423 203 1,482 240 1,135 107 907 907 817 804 13 1,009 8 966 35 694 182 512 Enrolled Total Enrolled 580 3,251 286 1,521 244 1,527 50 203 108 788 41 266 18 66 49 456 474 3,144 10 51 401 2,615 62 476 1 2 186 1,133 37 210 62 478 87 445 147 1,006 39 272 79 502 29 232 321 1,803 39 279 252 1,387 30 137 147 1,054 147 1,054 105 922 102 906 3 16 176 1,185 0 8 1,136 170 6 41 113 807 36 218 77 589 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Plan Name TOTALS: NYS Catholic Health Plan SCHC Total Care TOTALS: NYS Catholic Health Plan TOTALS: Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare of New York TOTALS: HealthNow/BCBS-WNY/Community Blue Independent Health NYS Catholic Health Plan Univera Community Health Inc TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: HealthNow/BCBS-WNY/Community Blue MVP Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY Enrolled 658 539 119 621 621 2,501 765 882 620 234 11,252 1,902 2,695 2,300 4,355 511 0 511 462 0 462 884 131 753 622 328 163 131 492 137 355 59 59 1,221 200 1,006 15 Enrolled Total Enrolled 87 745 71 610 16 135 95 716 95 716 360 2,861 99 864 1,001 119 733 113 263 29 2,071 13,323 320 2,222 601 3,296 347 2,647 803 5,158 78 589 1 1 77 588 108 570 1 1 107 569 171 1,055 25 156 146 899 102 724 52 380 28 191 22 153 79 571 22 159 57 412 17 76 17 76 150 1,371 24 224 124 1,130 2 17 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Plan Name TOTALS: Excellus Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan MVP Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan MVP Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Affinity Health Plan HealthFirst PHSP HealthPlus HIP of Greater New York NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY Enrolled 1,368 1,325 43 367 203 164 570 423 77 70 887 371 298 218 7,694 5,789 484 1,421 1,038 276 762 15,650 2,426 3,034 1,185 2,163 3,227 3,615 2,500 991 1,509 3,646 702 2,470 474 Enrolled Total Enrolled 225 1,593 212 1,537 13 56 45 412 23 226 22 186 73 643 49 472 13 90 11 81 109 996 54 425 37 335 18 236 1,450 9,144 965 6,754 98 582 387 1,808 115 1,153 29 305 86 848 2,422 18,072 390 2,816 420 3,454 180 1,365 323 2,486 640 3,867 469 4,084 559 3,059 233 1,224 326 1,835 483 4,129 112 814 304 2,774 67 541 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland Plan Name TOTALS: Excellus Health Plan NYS Catholic Health Plan SCHC Total Care United Healthcare Plan of NY TOTALS: Excellus Health Plan MVP Health Plan NYS Catholic Health Plan TOTALS: Affinity Health Plan Hudson Health Plan NYS Catholic Health Plan Wellcare of New York TOTALS: Excellus Health Plan HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan Wellcare of New York TOTALS: Affinity Health Plan Hudson Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY Wellcare of New York Enrolled 5,185 965 1,936 1,470 814 967 903 46 18 4,287 1,621 1,357 1,076 233 744 259 102 383 2,156 361 1,140 655 818 299 519 415 415 1,414 630 664 120 4,905 610 1,068 3,040 22 165 Enrolled Total Enrolled 760 5,945 142 1,107 259 2,195 258 1,728 101 915 186 1,153 168 1,071 12 58 6 24 598 4,885 251 1,872 151 1,508 163 1,239 33 266 89 833 34 293 10 112 45 428 321 2,477 61 422 161 1,301 99 754 110 928 42 341 68 587 57 472 57 472 245 1,659 101 731 118 782 26 146 673 5,578 772 162 119 1,187 364 3,404 4 26 24 189 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County St Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Plan Name TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan TOTALS: NYS Catholic Health Plan TOTALS: Affinity Health Plan HealthFirst PHSP HIP of Greater New York Neighborhood Health Providers NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Hudson Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: NYS Catholic Health Plan SCHC Total Care Enrolled 1,291 1,239 52 1,908 681 1,227 1,939 627 1,312 472 159 313 285 238 47 373 373 1,023 1,023 18,186 3,118 2,543 2,139 1,725 3,820 4,841 1,341 997 344 517 243 258 16 674 192 482 Enrolled Total Enrolled 223 1,514 216 1,455 7 59 278 2,186 132 813 146 1,373 309 2,248 95 722 214 1,526 65 537 27 186 38 351 46 331 38 276 8 55 55 428 55 428 167 1,190 167 1,190 2,367 20,553 372 3,490 257 2,800 284 2,423 225 1,950 590 4,410 639 5,480 181 1,522 113 1,110 68 412 84 601 33 276 50 308 1 17 147 821 53 245 94 576 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County Ulster Warren Washington Wayne Westchester Wyoming Yates Upstate Total NYC Plan Name TOTALS: Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare of New York TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Affinity Health Plan HIP of Greater New York Hudson Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan TOTALS: Excellus Health Plan Affinity Health Plan Amerigroup HealthFirst PHSP HealthPlus HIP of Greater New York MetroPlus Health Plan Neighborhood Health Providers NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York NYC Total Enrolled 2,134 654 847 360 273 806 794 12 822 154 668 1,048 912 136 10,140 1,727 824 5,207 2,274 108 461 311 150 428 428 130,478 13,712 11,779 31,751 26,395 16,392 28,286 13,918 29,617 21,863 5,814 199,527 Enrolled Total Enrolled 440 2,574 117 771 188 1,035 75 435 60 333 82 888 80 874 2 14 86 908 23 177 63 731 110 1,158 93 1,005 17 153 1,871 12,011 371 2,098 165 989 711 5,918 604 2,878 20 128 57 518 31 342 26 176 46 474 46 474 20,809 151,287 6,121 19,833 5,712 17,491 11,652 43,403 7,576 33,971 4,938 21,330 8,149 36,435 4,193 18,111 13,906 43,523 7,118 28,981 3,435 9,249 72,800 272,327 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS MARCH, 2012 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County Plan Name UPSTATE TOTALS: NEW YORK CITY TOTALS: GRAND TOTALS County NYC Borough NOTES: Plan Name Bronx Brooklyn Manhattan Queens Staten Island Borough Total Enrolled 130,478 199,527 330,005 Enrolled 20,809 72,800 93,609 Total Enrolled 151,287 272,327 423,614 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled Total Enrolled 32,915 69,050 18,425 71,014 8,124 199,527 10,162 24,860 9,732 25,807 2,239 72,800 43,077 93,910 28,156 96,822 10,362 272,327 (1) The source of plan enrollment counts was revised in July 2003 to be based on the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : United HealthCare - Broome County MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM NYS MARCH, 2012 MLTC PACE PLAN NAME ARCHCARE SENIOR LIFE COUNTY NEW YORK Total CHS BUFFALO LIFE ERIE Total NIAGARA Total COMPLETE SENIOR CARE COMPREHENSIVE CARE MGMT EDDY SENIOR CARE INDEPENDENT LIVING FOR SENIORS PACE CNY TOTAL SENIOR CARE CCM SELECT 90 90 30 30 NASSAU NEW YORK SUFFOLK WESTCHESTER 24 2,726 66 158 Total ALBANY SCHENECTADY Total 2,974 2 112 114 MONROE Total ONONDAGA OSWEGO Total ALLEGANY CATTARAUGUS Total Total MLTC PACE Enrollment MLTC PARTIAL CAPITATION PLAN NAME AMERIGROUP TOTAL ENROLLMENT 206 206 291 291 407 1 408 5 76 81 4,194 NEW YORK Total 1,446 1,446 NEW YORK 3,784 WESTCHESTER Total 40 3,824 ELANT ORANGE ROCKLAND Total 125 54 179 ELDERPLAN NEW YORK Total 5,120 5,120 ELDERSERVE NASSAU NEW YORK 38 5,202 SUFFOLK WESTCHESTER FIDELIS CARE AT HOME GUILDNET HHH CHOICES INDEPENDENCE CARE SYSTEMS SENIOR HEALTH PARTNERS INC SENIOR NETWORK HEALTH Total ORANGE VNS CHOICE WELLCARE Total MLTC Partial Capitation Enrollment Total Statewide Enrollment NOTES: 5,323 239 ROCKLAND Total 198 437 NASSAU NEW YORK 487 6,887 SUFFOLK Total NEW YORK 453 7,827 1,285 Total NEW YORK Total NEW YORK Total HERKIMER 1,285 2,018 2,018 3,615 3,615 48 ONEIDA Total TOTAL AGING IN PLACE PROGRAM 16 67 333 381 ERIE Total NEW YORK Total NEW YORK 123 123 10,329 10,329 2,051 Total 2,051 43,958 48,152 (1) The source of plan enrollment counts is the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : None MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS MARCH, 2012 County Plan Name Albany TOTAL Fidelis Senior Whole Health WellCare TOTAL Fidelis Senior Whole Health TOTAL Fidelis Senior Whole Health TOTAL WellCare TOTAL Fidelis Senior Whole Health TOTAL Fidelis TOTAL Fidelis Senior Whole Health TOTAL GHI HIP of Greater New York Liberty Health Advantage Managed Health United HealthCare TOTAL WellCare TOTAL Fidelis TOTAL Fidelis Touchstone/Prestige TOTAL Senior Whole Health Touchstone/Prestige TOTAL Fidelis TOTAL Fidelis Senior Whole Health TOTAL GHI TOTAL Senior Whole Health TOTAL Fidelis Senior Whole Health WellCare Columbia Dutchess Erie Greene Herkimer Montgomery Nassau Niagara Oneida Onondaga Orange Oswego Rensselaer Rockland Saratoga Schenectady Total Enrolled 223 43 177 3 14 1 13 48 20 28 19 19 9 6 3 4 4 35 20 15 206 16 131 32 5 22 11 11 39 39 25 24 1 42 32 10 11 11 70 11 59 37 37 37 37 102 37 62 3 MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS MARCH, 2012 County Plan Name Suffolk TOTAL GHI HIP of Greater New York TOTAL Fidelis GHI Senior Whole Health TOTAL Senior Whole Health TOTAL Senior Whole Health TOTAL WellCare TOTAL GHI HIP of Greater New York Managed Health Touchstone/Prestige WellCare Ulster Warren Washington Wayne Westchester Upstate Total: NYC Affinity ElderPlan Fidelis GHI HIP of Greater New York Liberty Health Advantage Managed Health MetroPlus Touchstone/Prestige United HealthCare WellCare NYC Total UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL Total Enrolled 84 7 77 105 13 1 91 21 21 6 6 1 1 112 28 8 2 72 2 1,261 284 11 1,372 573 1,346 481 175 199 1,367 189 2 5,999 1,261 5,999 7,260 NOTES: (1) The source of plan enrollment counts is the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : WellCare - New York City, Albany, Erie, Niagara, Schenectady, Wayne, & Westchester counties MEDICAID ADVANTAGE PLUS ENROLLMENT REPORT BY COUNTY AND PLAN NYS MARCH, 2012 Upstate Total: NYC AmeriGroup Elderplan Guildnet HIP of Greater New York NYS Catholic Health Plan VNS Choice Plus WellCare NYC Total Total Enrolled 109 11 98 5 5 7 7 1 1 4 1 3 11 11 12 12 59 10 49 12 12 45 14 31 59 59 6 6 7 7 337 10 603 372 289 56 100 43 1,473 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 337 1,473 1,810 County Albany Columbia Dutchess Greene Montgomery Nassau Orange Rensselaer Saratoga Schenectady Ulster Warren Washington Plan Name Total NYS Catholic Health Plan Senior Whole Health Total Senior Whole Health Total Senior Whole Health Total Senior Whole Health Total NYS Catholic Health Plan Senior Whole Health Total HIP of Greater New York Total Senior Whole Health Total NYS Catholic Health Plan Senior Whole Health Total Senior Whole Health Total NYS Catholic Health Plan Senior Whole Health Total Senior Whole Health Total Senior Whole Health Total Senior Whole Health NOTES: (1) The source of plan enrollment counts is the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : None
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